158 cpc certified professional coder jobs found in Irvine, CA

University of California Irvine Health is seeking a Specialty ROCC Coder III. The role involves abstracting and coding using ICD-10-CM and CPT for IR/Vascular and Radiation Oncology at UCI Medical Center. The ideal candidate should have at least two years of acute hospital coding experience and must be credentialed as ROCC, CCS, CCS-P, CPC, or CPC-H. This position requires strong communication skills and the ability to work effectively with physicians and other staff. #J-18808-Ljbffr

Who We Are UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County's only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region's only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles...

Job Description Summary Position reports to the Supervisor Benefit Distribution & Installation and performs in-depth pharmacy and medical plan coding of new and existing business accounts. This position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers’ summary plan descriptions. Job Description Summary Position reports to the Supervisor Benefit Distribution & Installation and performs in-depth pharmacy and medical plan coding of new and existing business accounts. This position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers’ summary plan descriptions. Duties And Responsibilities Plan...

JOB DESCRIPTION SUMMARYPosition reports to the Supervisor Benefit Distribution & Installation and performs in-depth pharmacy and medical plan coding of new and existing business accounts. This position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers’ summary plan descriptions.DUTIES AND RESPONSIBILITIESPlan CodingPlan code new business and plan changes.Verify new and existing plans loaded on the company’s claim management system against the appropriate Summary Plan Description to determine the accuracy of present and future claims payments.Respond to work orders received from examiners to investigate plan issues and irregularities.Evaluate testing requests for all new plans prior to loading them into the production system.AdministrativeKeep a detailed log of open and completed...

Position Summary The Specialty ROCC Coder III performs abstracting and coding, using ICD‑10 CM and CPT, on all IR/Vascular accounts or Radiation Oncology accounts at UCI Medical Center in accordance with practice policy and regulatory guidelines. Incumbent will be responsible for Hospital and Professional coding on certain encounters. Accounts are coded utilizing the 3M encoder and the Epic computer system for coding and data entry. The coder will communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process. Additional duties include preparing and compiling daily, weekly and monthly production reports, participating in departmental PI projects and performing related duties as assigned to meet operational needs. Responsibilities Abstract and code IR/Vascular and Radiation Oncology accounts using ICD‑10 CM and CPT. Identify and resolve coding queries with physicians. Enter coded data into the Epic system and 3M encoder. Prepare and compile...

The University of California, Irvine is seeking a Specialty ROCC Coder III. This role involves abstracting and coding for IR/Vascular or Radiation Oncology accounts, requiring coding expertise with ICD-10 and CPT systems. Candidates must possess an AHIMA approved coding certificate and have at least two years of coding experience in an acute hospital setting. Benefits include medical insurance, retirement plans, and other perks. UCI is committed to diversity and providing equal employment opportunities. #J-18808-Ljbffr

Your Role on the Team Position Summary: The Specialty ROCC Coder III performs abstracting and coding using ICD‑10 CM and CPT on all IR/Vascular or Radiation Oncology accounts at UCI Medical Center. Incumbent will be responsible for hospital and professional coding on certain encounters, using the 3M encoder and the Epic system for coding and data entry. The coder will communicate with physicians to obtain or clarify diagnoses and procedures via the query process. Additional duties include preparing daily, weekly and monthly production reports, participating in departmental PI projects, and performing related duties as assigned to meet operational needs. What It Takes to be Successful Required Qualifications Successful completion of a twelve‑month AHIMA approved coding certificate program Skill, knowledge and ability essential to the successful performance of the job duties Ability to effectively assign codes Demonstrated customer service skills appropriate to the job Minimum...

Position Summary The Specialty ROCC Coder III performs abstracting and coding using ICD-10‑CM and CPT on all IR/Vascular and Radiation Oncology accounts at UCI Medical Center in accordance with practice policy and regulatory guidelines. The incumbent is responsible for Hospital and Professional coding on certain encounters, uses the 3M encoder and the Epic computer system for coding and data entry, communicates with physicians to obtain or clarify diagnosis and/or procedures via the query process, and prepares and compiles daily, weekly and monthly production reports. The coder also participates in departmental PI projects and performs related duties as assigned to meet operational needs. Required Qualifications Successful completion of a twelve‑month AHIMA approved coding certificate program. Skill, knowledge and ability essential to the successful performance of the job duties. Skill to effectively assign codes. Must be customer‑service oriented and possess excellent written...

UCI Health is seeking a Specialty ROCC Coder III in Irvine, California. This role involves abstracting and coding IR/Vascular and Radiation Oncology accounts while ensuring compliance with regulatory guidelines. The ideal candidate will have at least two years of hospital coding experience, a relevant AHIMA-approved certificate, and strong communication skills. The position also offers various benefits including medical insurance, vacation time, and retirement savings plans. #J-18808-Ljbffr

UCI Health is seeking a Specialty ROCC Coder III to perform abstracting and coding on IR/Vascular and Radiation Oncology accounts using ICD-10-CM and CPT. The role requires a minimum of two years in acute hospital coding and AHIMA-approved certificate, with strong communication skills. You will interact with physicians for query clarification, generate production reports, and support departmental PI projects to improve coding accuracy and compliance within UCI Health. #J-18808-Ljbffr

Specialty Rocc Coder III UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health Orange, UCI Health Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County's only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region's only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los...

Coder II Shift: Afternoon Shift X 8 Hrs Start Date: 08/03/2026 End Date: 10/31/2026 Duration: 13 Week(s) Location: Costa Mesa, CA

Details Client Name Hoag Memorial - HOSPITAL BILLING Job Type Travel Offering Non-Clinical Profession Medical Coder Specialty Trainer Job ID 18829583 Job Title Coder II Weekly Pay $1777.0 Shift Details Shift 5x8 Days Scheduled Hours 40 Job Order Details Start Date 08/03/2026 End Date 10/31/2026 Duration 13 Week(s) Client Details Address 2975 Red Hill Ave #200 City Costa Mesa State CA Zip Code 92626 Job Board Disclaimer Equal Employment Opportunity: Pride-Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or...

Details Client Name HOAG MEMORIAL HOSPITAL BILLING Costa Mesa 92626 Job Type Travel Offering Non-Clinical Profession Medical Coder/Biller Specialty Medical Coder/Biller Job ID 18825905 Job Title Coder II Weekly Pay $390.78 Shift Details Shift 1 Afternoon Shift X 8 Hrs Scheduled Hours 8 Job Order Details Start Date 08/03/2026 End Date 10/31/2026 Duration 13 Week(s) Client Details Address 2975 Red Hill Ave, Hoag Business Center City Costa Mesa State CA Zip Code 92626 Job Board Disclaimer Stay updated with job opportunities from Talent4Health that match your skills! You can reply "STOP" anytime to unsubscribe or send e-mail at nexusqueries@talent4health.com.

Remote Inpatient Coder The remote Inpatient Coder is responsible for assigning diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems and monitors bill hold reports. Serves as a liaison to Clinical documentation Specialists for ICD-10 inpatient encounters for accurate code and MSDRG assignments. Communicate with the Workforce Manager when necessary. Performs other duties as assigned. Extensive knowledge of 3M encoder, EPIC electronic health record is required. Must have a minimum 4 years recent acute care inpatient coding experience. Comfortable with hitting a 95% accuracy or better and hitting productivity standards. Knowledge of medical/surgical terminology. Minimum Required Qualifications: Must have a High School Diploma; or equivalent combination of education and experience. Four (4) years recent acute care hospital Inpatient Coding and abstracting experience. Recent Level I OR II Trauma experience. Extensive knowledge with recent 3M 360 and EPIC...

Job Description Job Description Duties: Position Summary: Reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, and CPT-4 codes. Codes are used for billing, internal and external reporting, research and regulatory compliance activities. Resolves billing related errors and assists with workflow changes and process improvement projects. Meets ongoing productivity and quality standard of 95% accuracy rate or better. Verifies that all ICD-10 codes are correctly captured. Verifies that physician is correctly abstracted. Keeps abreast of coding guideline changes. May identify chargeable items for facility level for given department. May assign codes for diagnoses and treatment for ancillary outpatient encounters. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Performs other duties as assigned. Additionally, the Coder III utilize0s...

Specialty Physician Coder – Cardiology Location: Fountain Valley, CA (Predominately Remote / Must be located in California) Department: Document Improvement Status: Full-Time Shift: Days (8 hr) Pay Range: $33.79/hr - $49.00/hr Position Summary Under the direction of the Coding Compliance Manager, the Specialty Physician Coder reviews and analyzes specialty coding and billing for charge processing and ensures accurate, compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services. The coder will work with the Coding Compliance Manager on identified coding trends and irregularities and needed action items. Essential Functions and Responsibilities Proficient in Microsoft Office suite. Proficient in Epic software. Strong analytical skills. Strong critical thinking skills. Detail oriented. Ability to research and resolve problems (strong problem‑solving skills). Strong understanding of the healthcare revenue cycle. Excellent...

A leading healthcare organization is seeking a Specialty Physician Coder for a full-time position in California, primarily remote. The role involves reviewing and analyzing specialty coding and billing while ensuring accurate medical coding for various services. Qualified candidates should have significant coding experience and be familiar with ICD10, CPT, and HCPCS. The position offers a pay range of $33.79/hr to $49.00/hr, emphasizing analytical skills, problem-solving, and effective communication in a collaborative environment. #J-18808-Ljbffr

Astrana Health Management is seeking a Risk Adjustment Coding Specialist II to support the Orange County market. Candidates should have 3-5 years of risk adjustment coding experience and be able to travel up to 75% for the role. You will review provider documentation, conduct education sessions, and ensure compliance with coding regulations. AAPC or AHIMA certification is required. The role offers a competitive salary range of $70,000 - $85,000 per year. #J-18808-Ljbffr

Astrana Health is seeking a Risk Adjustment Coding Specialist to support Orange County operations. You will conduct high-volume chart reviews to identify coding gaps, then translate findings into education for providers and practice leaders, driving HCC recapture and KPI improvements. olla You will travel to provider offices up to 75% and collaborate with IPA teams, offering auditing and education to ensure CMS, Medicare and payer guidelines are met while staying current on ICD-10/HCC updates. #J-18808-Ljbffr

Junior Quality Improvement Coder Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members. The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA's to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. Essential Duties And Responsibilities Include The Following: Analyze data from contracted IPA network providers that allows for proper review of data to...

DRG Coder The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the Senior DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do Review inpatient hospital records and assign accurate diagnosis and procedure codes Determine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentation Conduct coding validation and auditing to ensure compliance with payer and regulatory...

Description About Us Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members. SUMMARY The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA’s to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. ESSENTIAL DUTIES AND RESPONSIBILITIES Analyze data from contracted IPA network providers that allows for proper review of data to evaluate HEDIS and Risk...